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Individual

DR. MITCHELL JEFFREY GARDINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
59 AVENUE AT THE COMMON, SUITE 205, SHREWSBURY, NJ 07702
(732) 741-5533
(732) 741-6064
Mailing address
59 AVENUE AT THE COMMON, SUITE 205, SHREWSBURY, NJ 07702
(732) 741-5533
(732) 741-6064

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NJ12455
NJ

Other

Enumeration date
01/16/2007
Last updated
11/10/2009
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